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Listening to the Residents: The Perception of Pediatric Palliative Care Education in a Residency Program in Brazil
Conclusion: It can be said that the main flaws in the teaching-learning process of pediatric residents were the number of hours of training in teaching, communication skills training (through participation in conferences) and guidance on the practice of teaching suspension of invasive measures. It was observed that less time reserved for this learning is related to lesser knowledge and greater barriers to the use of palliative care. Those who declared themselves able to take care of children with life-organizing conditions received some teaching in CPP.PMID:36592475 | DOI:10.1177/10499091221149153
Source: The American Journal of Hospice and Palliative Care - January 2, 2023 Category: Palliative Care Authors: Marcia Fiuza Geraldo Silva Junior Source Type: research

Leading Change and Negotiation Strategies for Division Leaders in Clinical Medicine.
Abstract Most physician leaders assume their administrative role based on past achievements but with very little leadership training. In this article, leaders of the Association of Pulmonary, Critical Care and Sleep Division Directors describe two leadership skills that are often required to effectively lead in a clinical division at an academic or community hospital setting: leading change and negotiation strategy. We adopted our discussion from the business sector and refined the approaches through our own experiences to help division leaders in leading a successful team, whether as a division chief, residency o...
Source: Chest - July 8, 2019 Category: Respiratory Medicine Authors: Nguyen HB, Thomson C, Jarjour NN, Dixon AE, Liesching TN, Schnapp LM, Madison JM, Murin S, Glenny R, Kaminski N, Leadership Working Group of the Association of Pulmonary, Critical Care and Sleep Division Directors Tags: Chest Source Type: research

The Development of a Critical Care Resident Research Curriculum: A Needs Assessment.
Conclusion. We demonstrated that Canadian critical care trainees and junior faculty reported gaps in knowledge in all areas of research. There was disagreement amongst trainees, junior faculty, research coordinators, and program directors regarding learning needs. Results from this needs assessment will be used to help redesign the education program of the Canadian Critical Care Trials Group to complement local research training offered for critical care trainees. PMID: 27610029 [PubMed - in process]
Source: Respiratory Care - September 10, 2016 Category: Respiratory Medicine Authors: Jain S, Menon K, Piquette D, Gottesman R, Hutchison J, Gilfoyle E, Group CC Tags: Can Respir J Source Type: research

Quality Improvement Education Incorporated as an Integral Part of Critical Care Fellows Training at the Mayo Clinic
Problem: The Accreditation Council for Graduate Medical Education emphasizes quality improvement (QI) education in residency/fellowship training programs. The Mayo Clinic Combined Critical Care Fellowship (CCF) program conducted a pilot QI education program to incorporate QI training as a required curriculum for the 2010–2011 academic year. Approach: CCF collaborated with the Mayo Quality Academy to customize and teach the existing Mayo Quality Fellows curriculum to the CCF fellows with the help of two quality coaches over five months starting July 2010. All fellows were to achieve Bronze and Silver certification prior t...
Source: Academic Medicine - September 25, 2014 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

Impact of a Simulation-Based Communication Workshop on Resident Preparedness for End-of-Life Communication in the Intensive Care Unit.
Conclusion. This study provides evidence that brief simulation-based interventions can produce lasting improvements in residents' confidence to discuss EOL care with family members of patients in the ICU. PMID: 26199755 [PubMed]
Source: Critical Care Research and Practice - July 24, 2015 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Lost in Translation: Identifying Behavioral Health Disparities in Pediatric Primary Care
Although care within a medical home increases parental satisfaction with health care services and improves health care utilization, significant racial/ethnic and language disparities persist in health care settings. Integrated, team-based approaches can decrease health disparities. The current study examines medical records of 2,353 youth who received a behavioral health consultation in an urban, residency training pediatric primary care clinic. A three-phase, mixed-method approach was used to examine whether differences in clinician-identified presenting concerns and recommendations were present across English-, Spanish-,...
Source: Journal of Pediatric Psychology - April 11, 2016 Category: Pediatrics Authors: Becker Herbst, R., Margolis, K. L., Millar, A. M., Muther, E. F., Talmi, A. Tags: Articles Source Type: research

The satisfaction of families in the care of their loved ones in CCUs in Lebanon
ConclusionsAssessment of family satisfaction in different cultures is important as each culture has specific needs that are essential to decipher. Implications for practicePatient satisfaction leads to improved quality of care; thus, it behoves nurses to meet the needs of families from different cultures to help them cope and increase their satisfaction, which leads to improve patient outcomes.
Source: Nursing in Critical Care - August 10, 2015 Category: Nursing Authors: Madeleine Hajj, Taline Gulgulian, Lili Haydar, Amali Saab, Fatima Dirany, Lina Kurdahi Badr Tags: Research Source Type: research

Mechanical Ventilation Boot Camp: A Simulation-Based Pilot Study.
Conclusions. A three-day simulation curriculum for residents was effective in increasing competency, knowledge, and confidence with ventilator management. PMID: 26949545 [PubMed]
Source: Critical Care Research and Practice - March 9, 2016 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

The Scope of Behavioral Health Integration in a Pediatric Primary Care Setting
Conclusions: Pediatric BHCs provide a wide range of services to pediatric populations in the context of integrated behavioral health programs. Implications for workforce capacity development, evaluation of outcomes and impact, and sustainability are discussed.</span>
Source: Journal of Pediatric Psychology - July 16, 2016 Category: Pediatrics Source Type: research

Is it possible to do CCM fellowship after Neurocritical Care fellowship (neurology trained)?
In medical school I was debating IM-->critical care vs. anesthesia-->critical care, but I rotated on neuro ICU and fell in love with the neuro population specifically and choose the neurology path. I always felt a little out of place in my neurology residency and even did all my elective time in things like MICU and CCU. Now that I'm in fellowship Im much happier than when I was in residency, and I still find that I really love the non neurological critical care issues that come up in our... Read more
Source: Student Doctor Network - August 2, 2022 Category: Universities & Medical Training Authors: Neurocrit Tags: Critical Care Source Type: forums

Mapping the increasing interest in acute care surgery—Who, why and which fellowship?
CONCLUSION American Association for the Surgery of Trauma–approved 2-year fellows appear to be the most satisfied with their fellowship choice. No differences were noted in academic productivity or practice between fellowships. Future research should focus on variability in trauma training and operative experience during residency and in practice to better inform how a second fellowship year would improve training for ACS careers. LEVEL OF EVIDENCE Descriptive, mixed methods, Level IV.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - April 23, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research

To Err is Homicide in Britain – the case of Dr. Hadiza Bawa-Garba  
By, SAURABH JHA The good that doctors do is oft interred by a single error. The case of Dr. Hadiza Bawa-Garba, a trainee pediatrician in the NHS, convicted for homicide for the death of a child from sepsis, and hounded by the General Medical Council, is every junior doctor’s primal fear.   An atypical Friday Though far from usual, Friday February 18th, 2011 was not a typically unusual day in a British hospital. Dr. Bawa-Garba had just returned from a thirteen-month maternity break. She was the on-call pediatric registrar – the second in command for the care of sick children at Leicester Royal Infirmary. As a “r...
Source: The Health Care Blog - January 30, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Patients Physicians The Business of Health Care Source Type: blogs

Research and Reviews in the Fastlane 055
This study demonstrates a higher success rate (100% vs. 88%) and lower pneumothorax rate (0% vs. 5%) in comparing ultrasound guided versus landmark technique for placement. Although the ultrasound guided method may be technically difficult to learn and take some time investment, that time is repayed in the shorter time to accessing the vessel and lower complication rate. Recommended by: Anand Swaminathan Emergency medicineRosen P. The biology of emergency medicine. JACEP. 1979 Jul;8(7):280-3. PubMed PMID 449164 Peter Rosen has called this ‘the only good article I have ever written’. This is Rosen’s rati...
Source: Life in the Fast Lane - October 28, 2014 Category: Emergency Medicine Authors: Soren Rudolph Tags: Anaesthetics Clinical Research Emergency Medicine Intensive Care Neurology Resuscitation Trauma critical care Education literature R&R in the FASTLANE recommendations Research and Review Source Type: blogs

33. developing a bootcamp to increase pediatric residents’ comfort before critical care rotations
ConclusionsA bootcamp for rising senior residents beginning critical care rotations increases comfort with critical care and may create a better experience during pediatric residency.
Source: Academic Pediatrics - August 1, 2019 Category: Pediatrics Source Type: research